摘要
Background:Heatwaves have a significant impact on population health including both morbidity and mortality.In this study we examined the association between heatwaves and emergency hospital admissions(EHAs)for renal diseases in children(aged 0-14 years)in Brisbane,Australia.Methods:Daily data on EHAs for renal diseases in children and exposure to temperature and air pollution were obtained for Brisbane city from January 1,1996 to December 31,2005.A time-stratified case-crossover design was used to compare the risks for renal diseases between heatwave and non-heatwave periods.Results:There were 1565 EHAs for renal diseases in children during the study period.Heatwaves exhibited a signifi cant impact on EHAs for renal diseases in children after adjusting for confounding factors(odds ratio:3.6;95%confidence interval:1.4-9.5).The risk estimates differed with lags and the use of different heatwave defi nitions.Conclusions:There was a significant increase in EHAs for renal diseases in children during heatwaves in Brisbane,a subtropical city where people are well accustomed to warm weather.This finding may have significant implications for pediatric renal care,particularly in subtropical and tropical regions.
基金
funded by Australian Research Council(DP0559655),Queensland Departments of Environment and Resources,Community Safety,Queensland Health,and Environmental Protection Agency
supported by an NHMRC research fellowship(#553043).
